Provider Demographics
NPI:1891186896
Name:KANG, HARAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HARAM
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S ASHLAND AVE
Mailing Address - Street 2:APT 614
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4002
Mailing Address - Country:US
Mailing Address - Phone:312-852-2546
Mailing Address - Fax:
Practice Address - Street 1:903 S ASHLAND AVE
Practice Address - Street 2:APT 614
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4002
Practice Address - Country:US
Practice Address - Phone:312-852-2546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051297926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist